Modelling the cascade of biomarker changes in GRN-related frontotemporal dementia
Autor: | Panman, J. L., Venkatraghavan, V., Van Der Ende, E. L., Steketee, R. M. E., Jiskoot, L. C., Poos, J. M., Dopper, E. G. P., Meeter, L. H. H., Kaat, L. D., Rombouts, S. A. R. B., Vernooij, M. W., Kievit, A. J. A., Premi, E., Cosseddu, M., Bonomi, E., Olives, J., Rohrer, J. D., Sanchez-Valle, R., Borroni, B., Bron, E. E., Van Swieten, J. C., Papma, J. M., Klein, S., Afonso, S., Almeida, M. R., Anderl-Straub, S., Andersson, C., Antonell, A., Archetti, S., Arighi, A., Balasa, M., Barandiaran, M., Bargallo, N., Bartha, R., Bender, B., Black, S., Butler, C., Bocchetta, M., Borrego-Ecija, S., Bras, J., Bruffaerts, R., Caroppo, P., Cash, D., Castelo-Branco, M., Convery, R., Cope, T., Danek, A., De Arriba, M., De Mendonca, A., Di Fede, G., Diaz, Z., Ducharme, S., Duro, D., Fenoglio, C., Ferreira, C. B., Finger, E., Flanagan, T., Fox, N., Freedman, M., Fumagalli, G., Gabilondo, A., Galimberti, D., Gasparotti, R., Gauthier, S., Gazzina, S., Gerhard, A., Giaccone, G., Gorostidi, A., Graff, C., Greaves, C., Guerreiro, R., Heller, C., Hoegen, T., Indakoetxea, B., Jelic, V., Karnath, H. -O., Keren, R., Laforce, R., Leitao, M. J., Levin, J., Llado, A., Loosli, S., Maruta, C., Masellis, M., Mead, S., Miltenberger, G., Van Minkelenm Sara Mitchell, R., Moore, K., Moreno, F., Nicholas, J., Oijerstedt, L., Otto, M., Ourselin, S., Padovani, A., Peakman, G., Pijnenburg, Y., Polito, C., Prioni, S., Prix, C., Rademakers, R., Redaelli, V., Rittman, T., Rogaeva, E., Rosa-Neto, P., Rossi, G., Rosser, M., Rowe, J., Santana, I., Santiago, B., Scarpini, E., Schonecker, S., Shafei, E. S. R., Shoesmith, C., Synofzik, M., Tabuas-Pereira, M., Tagliavini, F., Tartaglia, C., Tainta, M., Taipa, R., Tang-Wai, D., Thomas, D. L., Thonberg, H., Timberlake, C., Tiraboschi, P., Todd, E., Vandamme, P., Vandenberghe, R., Vandenbulcke, M., Veldsman, M., Verdelho, A., Villanua, J., Warren, J., Wilkeione, C., Elisabeth, W., Henrik, W., Zulaica, Z. M. |
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Přispěvatelé: | Neurology, Physics and medical technology, Radiology & Nuclear Medicine, Clinical Genetics, Medical Research Council |
Rok vydání: | 2021 |
Předmět: |
Male
Oncology Disease Neuropsychological Tests GENFI consortium investigators Primary progressive aphasia Cognition Progranulins 0302 clinical medicine Neurofilament Proteins BEHAVIORAL VARIANT HETEROGENEITY Gray Matter 11 Medical and Health Sciences Language Psychiatry 0303 health sciences Brain Middle Aged Magnetic Resonance Imaging White Matter 17 Psychology and Cognitive Sciences ALZHEIMERS-DISEASE Psychiatry and Mental health Phenotype medicine.anatomical_structure Frontotemporal Dementia Disease Progression Biomarker (medicine) Female Life Sciences & Biomedicine Frontotemporal dementia medicine.medical_specialty Clinical Neurology EVENT-BASED MODEL Grey matter Lateralization of brain function White matter 03 medical and health sciences SDG 3 - Good Health and Well-being Internal medicine NEUROFILAMENT LIGHT-CHAIN medicine Humans LOBAR DEGENERATION PROGRANULIN Aged 030304 developmental biology Science & Technology Neurology & Neurosurgery business.industry DISEASE PROGRESSION medicine.disease Mutation WHITE-MATTER INTEGRITY Surgery Neurosciences & Neurology Neurology (clinical) business GENFI Biomarkers 030217 neurology & neurosurgery Progressive disease |
Zdroj: | Journal of Neurology, Neurosurgery and Psychiatry Panman, J L, Venkatraghavan, V, Van Der Ende, E L, Steketee, R M E, Jiskoot, L C, Poos, J M, Dopper, E G P, Meeter, L H H, Donker Kaat, L, Rombouts, S A R B, Vernooij, M W, Kievit, A J A, Premi, E, Cosseddu, M, Bonomi, E, Olives, J, Rohrer, J D, Sánchez-Valle, R, Borroni, B, Bron, E E, Van Swieten, J C, Papma, J M & Klein, S 2021, ' Modelling the cascade of biomarker changes in GRN-related frontotemporal dementia ', Journal of Neurology, Neurosurgery and Psychiatry, vol. 92, no. 5, pp. 494-501 . https://doi.org/10.1136/jnnp-2020-323541 Journal of Neurology, Neurosurgery and Psychiatry, 92(5), 494-501. BMJ Publishing Group Journal of Neurology, Neurosurgery and Psychiatry, 92(5), 494-501. BMJ PUBLISHING GROUP |
ISSN: | 1468-330X 0022-3050 |
DOI: | 10.1136/jnnp-2020-323541 |
Popis: | ObjectiveProgranulin-related frontotemporal dementia (FTD-GRN) is a fast progressive disease. Modelling the cascade of multimodal biomarker changes aids in understanding the aetiology of this disease and enables monitoring of individual mutation carriers. In this cross-sectional study, we estimated the temporal cascade of biomarker changes for FTD-GRN, in a data-driven way.MethodsWe included 56 presymptomatic and 35 symptomatic GRN mutation carriers, and 35 healthy non-carriers. Selected biomarkers were neurofilament light chain (NfL), grey matter volume, white matter microstructure and cognitive domains. We used discriminative event-based modelling to infer the cascade of biomarker changes in FTD-GRN and estimated individual disease severity through cross-validation. We derived the biomarker cascades in non-fluent variant primary progressive aphasia (nfvPPA) and behavioural variant FTD (bvFTD) to understand the differences between these phenotypes.ResultsLanguage functioning and NfL were the earliest abnormal biomarkers in FTD-GRN. White matter tracts were affected before grey matter volume, and the left hemisphere degenerated before the right. Based on individual disease severities, presymptomatic carriers could be delineated from symptomatic carriers with a sensitivity of 100% and specificity of 96.1%. The estimated disease severity strongly correlated with functional severity in nfvPPA, but not in bvFTD. In addition, the biomarker cascade in bvFTD showed more uncertainty than nfvPPA.ConclusionDegeneration of axons and language deficits are indicated to be the earliest biomarkers in FTD-GRN, with bvFTD being more heterogeneous in disease progression than nfvPPA. Our data-driven model could help identify presymptomatic GRN mutation carriers at risk of conversion to the clinical stage. |
Databáze: | OpenAIRE |
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